Healthcare Provider Details

I. General information

NPI: 1710150495
Provider Name (Legal Business Name): MOSHE E HIRTH MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6646 ATLANTIC AVE STE 100
DELRAY BEACH FL
33446-1627
US

IV. Provider business mailing address

6646 ATLANTIC AVE STE 100
DELRAY BEACH FL
33446-1627
US

V. Phone/Fax

Practice location:
  • Phone: 561-638-9533
  • Fax: 561-638-7760
Mailing address:
  • Phone: 561-638-9533
  • Fax: 561-638-7760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME64286
License Number StateFL

VIII. Authorized Official

Name: DR. MOSHE HIRTH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-638-9533